Provider Demographics
NPI:1487855607
Name:SANTORI, SANDRA MARGARITA (PHD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARGARITA
Last Name:SANTORI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 VIA ESCORIAL
Mailing Address - Street 2:VILLAS REALES
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5348
Mailing Address - Country:US
Mailing Address - Phone:787-767-7185
Mailing Address - Fax:
Practice Address - Street 1:9 CAMINO ALEJANDRINO
Practice Address - Street 2:CARR. 838 KM. 0.1
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-630-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1250103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist